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Individual

MRS. NATASHA ANN WILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1700 NW GILMAN BLVD STE 205, ISSAQUAH, WA 98027-5364
(206) 636-1086
Mailing address
1700 NW GILMAN BLVD STE 205, ISSAQUAH, WA 98027-5364

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN60086576
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61061808
WA

Other

Enumeration date
02/11/2020
Last updated
05/21/2020
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